Amin, Mohammad Nurul

Amin, Mohammad Nurul is an sole proprietor health care provider with primary practice located at 2157 Orchard Lake Drive , Sylvan Lake MI 48320. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Amin, Mohammad Nurul can be contacted via phone (248) 857-7878.

Contact Information

Primary practice address
2157 Orchard Lake Drive Sylvan Lake MI 48320
Phone: (248) 857-7878
Fax: (248) 857-7888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MA048260 Michigan
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4301048260 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301048260 Michigan

Profile Details

NPI number 1083612840
LBN Legal business name Amin, Mohammad Nurul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2005
Last updated May 3rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083612840 NPPES
Michigan Other 3506305691 BCBS IND
Michigan MEDICAID 1759477 BCBS IND
Michigan MEDICAID 1083612840 BCBS IND

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